Sugrue Alan, Bhatia Subir, Vaidya Vaibhav R, Kucuk Ugur, Mulpuru Siva K, Asirvatham Samuel J
Division of Heart Rhythm, Department of Cardiovascular Diseases, Mayo Clinic, 200 1st Street South West, Rochester, MN 55902, USA.
Division of Internal Medicine, Department of Medicine, Mayo Clinic, 200 1st Street South West, Rochester, MN 55902, USA.
Card Electrophysiol Clin. 2018 Sep;10(3):461-482. doi: 10.1016/j.ccep.2018.05.015.
The His bundle (conduction system) is an attractive target for physiologic pacing because it uses the native conduction system. Although the potential benefits of conduction system pacing were recognized in the 1970s, in the past 2 decades, it has grown in interest as a potentially preferred method of ventricular stimulation in appropriate patients. This review provides an appraisal of conduction system pacing, with focus on anatomy, physiology, tools, and techniques as well as an appraisal of current published data and thoughts on future directions.
希氏束(传导系统)是生理性起搏的一个有吸引力的靶点,因为它利用了天然传导系统。尽管传导系统起搏的潜在益处早在20世纪70年代就已被认识到,但在过去20年里,它作为一种在合适患者中潜在的首选心室刺激方法,受到了越来越多的关注。本文综述对传导系统起搏进行了评估,重点关注其解剖学、生理学、工具和技术,以及对当前已发表数据的评估和对未来方向的思考。